Medicare Claims Processing Manual (Pub. 100-04), Ch. 23 § 10.4
ICD Procedure Codes
10.4 - ICD Procedure Codes
(Rev. 3081, Issued: 09-26-14, Effective: Upon Implementation of ICD-10, Implementation: Upon
Implementation of ICD-10)
ICD procedure codes are required for inpatient hospital Part A claims only. Healthcare Common Procedure
Code System (HCPCS) codes are used for reporting procedures on other claim types. Inpatient hospital
claims require reporting the principal procedure if a significant procedure occurred during the
hospitalization. For information of the selection of the principal procedure, see the Official ICD-10-PCS
coding guidelines posted with the annual updates to ICD-10-PCS posted at
http://www.cms.gov/Medicare/Coding/ICD10/index.html
The principal procedure code and other procedure codes shown on the bill must be the full ICD-9-CM,
Volume 3, or ICD-10-PCS procedure code, including all applicable digits, up to seven digits.
Up to twenty four significant procedures other than the principal procedure may be reported.